Post Job Free

Resume

Sign in

Business/Healthcare Manager

Location:
Portsmouth, VA
Posted:
August 02, 2023

Contact this candidate

Resume:

MONIEK MORGAN

EXPERIENCE

**/****- *******

Office Manager • Virginia Oncology Associates • Chesapeake, VA

Oversees the daily activities of the business office including patient billing, collections, reimbursement, and computer operations.

Oversees daily activities of the front office including scheduling, reception, and insurance authorization/verification.

Implements reimbursement policies and procedures and assists with policy development as appropriate. Ensures all business office activities are conducted to maximize reimbursement and efficiency in accordance with all federal, state and local laws and regulations.

Directs the preparation of monthly reimbursement and financial reports for the business office.

Coordinates office procedures between the front office, business office and clinic to ensure smooth information flow and communication.

Implements systems (both manual and computerized) to support office activities based upon business need.

Ensures adherence to company Human Resources policy. Recruits hires and trains all business, front office and support staff. Recommends merit increases, promotions and disciplinary actions.

Provides assistance and coverage for business and front office functions as needed.

01/2021–11/2021

Pre-Access Supervisor • Ensemble Health Partners/VCU Health System • Richmond, VA

Supervise, mentor, and train a staff of 28 associates under the direction of Management and additional leadership. Mentors and serves as a resource for less experienced staff.

Actively maintain up-to-date knowledge of current healthcare Federal laws, current procedure processes, and medical coding. Created SOP’s and training manuals for various aspects of the Referral Management Dpt

Regularly evaluate employee performance, provide feedback, coaching, and disciplined personnel.

Develop, maintain, and foster effective relationships with clients. Provide updates on projects, resolve issues and concerns promptly to ensure their satisfaction.

Ensure smooth operations by creating work schedules for employees with timelines, budget preparation, execution, and monitoring.

Assures all insurance information has been completely and accurately obtained. Document all pertinent insurance information. Document information given or received to support actions taken on insurance charges or referral issues.

04/2018–01/2021

Insurance/Schegistrar Specialist • VCU Health System • Richmond, VA

Contact health plan to secure prior authorization for procedures/testing as required by health plan

Collects and updates patient demographic and insurance plan information

Coordinate peer-to-peer review between VCUHS physicians and health plan medical directors to secure prior authorization for services

Maintains thorough knowledge of commercial, managed care and governmental health care plans

Maintains thorough knowledge of insurance plan authorization and referral requirements

Verifies insurance plan eligibility and benefits using multiple system and web-based tools, as well as calling payer and patient as necessary

Ensures that accurate notification of patient’s insurance coverage, authorizations, or status is provided to all involved work units and departments. Identifies all patients without third party financial benefits and directs them for financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.

07/2017–01/2018

FNOL/ELU Claims Agent • Corvel Corporation/Insight Global Staffing • Richmond, VA

Handling personal lines insurance and liability claims

Substantial customer contact via the telephone and correspondence.

Working in an electronic claim file environment, taking claim telephone records.

Initiating first notice of loss for injured workers with various companies

General office function

01/2017–06/2017

Patient Access Representative • Virginia Commonwealth Univ Hlth System • Richmond, VA

Handle all business functions in the assigned area which may include reception, scheduling and registering patients for appointments and/or procedures.

Greets patients; secures the appropriate patient and insurance information; ensures that registration data is correct and accurate.

Validates insurance eligibility, enters information into appropriate systems; collects co-pay; and informs patients of provider delays.

Provides quality customer services to patients of all ages, their families, visitors, medical staff, clinicians, and co-workers courteously, quickly and with respect.

10/2015–01/2017

Office Manager• Anderson Financial Services• Colonial Heights, VA

Arrange for debt repayment or establish repayment schedules.

Organizes functions through establishing clear accountabilities, delegation of duties and appropriate departmentalization without creating silos.

Determines appropriate staffing levels, monitors compensation, and strengthens recruiting and retention process.

Responsible for the coaching and development of all staff performing these functions and implementing short and long-term plans and objectives to improve customer service and collect quality information.

Manage front desk staff, including temporary employees, including, but not limited to scheduling, training, and enforcing the Front Desk Manual policies and procedures for all staff.

Manage Front Desk Documents and End of Month document audits. Manage and execute Front Desk Manual updates. Create and manage the front desk schedules, ensuring that all desks are covered during breaks and vacations.

Approve time off requests and timecards. Conduct monthly status meetings with all direct reports.

Maintain supply inventories & manage supply orders for all Front Desks.

Serve as point of contact to Vendors and Processors.

Provide Financial loans for customers who come into office.

Perform administrative support tasks, such as proofreading, transcribing handwritten information, or operating calculators or computers to work with pay records, invoices, balance sheets, or other documents.

01/2009-09/2015

Practice Manager • Epic Pain Mgmt & Anesthesia, LLC • Wayne, NJ

Managing the daily operations of a healthcare facility, overseeing department of 30 employees. Delivering a high-level of customer service and maximize patient satisfaction.

Establish facility’s annual budget and conduct monthly reviews to ensure finances are being properly allocated. Increase practice revenue by 33% through quality reporting initiative and improving front desk collection work processes.

Maintaining cleanliness and safety of various departments and ensuring systems are operating to the benefit of patients by strictly following established healthcare safety standards. Responsible for planning, developing, organizing, and managing the centralized scheduling department and is responsible for performance and effectiveness of these department(s). Plan, direct, supervise, and coordinate work activities of subordinates and staff relating to employment, scheduling, compensation, labor relations, and employee relations.

Minimize staff turnover through appropriate selection, orientation, training, staff education and development. Determines appropriate staffing levels, monitors compensation, and strengthens recruiting and retention process. Utilize Kronos HR system for all functions related to payroll, time, and attendance.

Responsible for the coaching and development of all staff performing these functions and implementing short and long-term plans and objectives to improve customer service and collect quality information.

Actively leads and/or participates in modernizing Patient Access. This included goal setting, tracking, and reporting of metrics, development, and implementation of action plans to achieve goals like Revenue Cycle Initiatives (RCIs), the review and implementation of new technologies, standardization of policies and processes and development of communication tools, both for staff and internal customers.

08/2003-10/2008

Collections Account Executive Comcast Cable- Edison, NJ

●Arrange for debt repayment or establish repayment schedules, based on customers' financial situations.

● Persuade customers to pay amounts due on credit accounts, damage claims, or non-payable checks, or to return merchandise.

37 Channing Avenue

Portsmouth, VA 23702

862-***-****

adyn9v@r.postjobfree.com

OBJECTIVE

Administrative and Medical professional boasting over 20 years of experience, with focus on client relations and customer service excellence. Strong planner and problem solver who readily adapts to change, works independently, and exceeds expectations. Able to juggle multiple priorities and meet tight deadlines without compromising quality. Extensive knowledge developing, implementing, and managing of processes, policies, and procedures throughout various client services.

SKILLS

Data Entry (72 wpm)

Microsoft Word

Microsoft Office

Microsoft Excel, PowerPoint, Access, Project, Publisher

Efficient in Worker’s Compensation Claims

Efficient in EMR Systems ( Athena, Epic, Kareo, Cerner, Dentrix, IDX, Peoplesoft, Practice Fusion)

CRCR Certified

SKILLS

Efficient in HR Systems

Efficient in Kronos HR System

Efficient in Oracle HR System

Efficient in Accounting Systems

Efficient in AccountEdge Pro System

Efficient in Sage Accounting System

Efficient in Quickbooks Accounting System

EDUCATION

M.A Sports Management Southern New Hampshire University- October 2016

Certification/Allied Health Sanford Brown Institute – August 2010

B.A English Education/Minor-Journalism South Carolina State University

May 2001

A.A Business Administration Gibbs University- June 1998

*References furnished upon request*



Contact this candidate